ABSTRACT
CONTEXT: The gradual impact of the Covid-19 pandemic had important effects on routines in surgical environments. In order to cope with the impact and re-establish anaesthesiology and surgery procedures, it was imperative to pursue in-depth studies with a view to ensuring safe surgical care, reducing hazards, as well as protecting the health, safety and wellbeing of the health personnel involved. The purpose of this study was to evaluate quantitative and qualitative approaches to domains of safety climate among multi-professional staffs of surgical centres during the Covid-19 pandemic and to identify intersections. METHODS: This mixed-method project employed a concomitant triangulation strategy on a quantitative approach in an exploratory, descriptive, cross-sectional study, as well as a qualitative approach by way of a descriptive study. Data were collected using the validated, self-applicable Safety Attitudes Questionnaire/Operating Room (SAQ/OR) questionnaire and a semi-structured interview script. The 144 participants were the surgical, anaesthesiology, nursing and support teams working in the surgical centre during the Covid-19 pandemic. RESULTS: The study found an overall safety climate score of 61.94, the highest-scoring domain being 'Communication in the surgical environment' (77.91) and the lowest, 'Perception of professional performance' (23.60). On integrating the results, a difference was found between the domains 'Communication in the surgical environment' and 'Working conditions'. However, there was intersection by the 'Perception of professional performance' domain, which permeated important categories of the qualitative analysis. CONCLUSIONS: For care practice, it is hoped to encourage improved patient safety, educational interventions to strengthen the patient safety climate and promote in-job wellbeing on the job for health personnel working in surgical centres. It is suggested that further studies explore the subject in greater depth among several surgical centres with mixed methods, so as to permit future comparisons and to monitor the evolving maturity of safety climate.
ABSTRACT
Objetivo:Discutir o saber do enfermeiro no manejo clínico da amamentação, visando os benefícios do aleitamento materno na saúde da mulher e da criança.Método:Estudo descritivo, exploratório, qualitativo, realizado nas maternidades públicas do Munícipio de Niterói com 59 enfermeiros atuantes no centro obstétrico, alojamento conjunto e enfermaria de gestante. Os dados foram coletados por intermédio de entrevista semiestruturada e analisados, conforme a construção de categorias temáticas.Resultado:O saber dos enfermeiros sobre o manejo clínico da amamentação resulta de um conhecimento técnico assistencial baseado em atitudes de apoio à lactação envolvendo a mulher-nutriz, o recém nascido e a família.Conclusão:O conhecimento técnico e científico torna-se se suma importância, pois favorecem para as estratégias do aleitamento materno no manejo clínico da amamentação.
Objective: Discuss the knowledge of nurses in the clinical management of breastfeeding, so the benefits of breastfeeding on thehealth of women and children. Method: A descriptive, exploratory qualitative study conducted in public hospitals of Niterói withfifty-nine nurses working in obstetrics center, rooming and ward pregnant. Data were collected through semi-structured interviewsand analyzed according to the construction of thematic categories. Results: Knowledge of nurses about the clinical managementof breastfeeding, the result of an assistance expertise based on attitudes to support lactation involving women-nursing mother,the newborn and family. Conclusion: The technical and scientific knowledge it becomes very important because the strategiesto promote breastfeeding in the clinical management of breastfeeding.
Objetivo: Discutir el conocimiento de las enfermeras en el manejo clínico de la lactancia materna, visando los beneficios delamamantamiento en la salud de las mujeres y de los niños. Metodo: Estudio descriptivo, exploratorio, cualitativo, realizado enmaternidades públicas de Niterói con 59 enfermeras que trabajan en el centro obstétrico, en el alojamiento conjunto y en laenfermería de gestantes. Los datos fueron recolectados a través de entrevistas semiestructuradas y analizados de acuerdo conla construcción de categorías temáticas. Resultados: El conocimiento de las enfermeras sobre el manejo clínico de la lactanciamaterna resulta de una experiencia técnica de asistencia basada en actitudes de apoyo a la lactancia, envolviendo la madre,el recién-nacido y la familia. Conclusión: El conocimiento técnico-científico es muy importante debido al favorecimiento de lasestrategias para promover la lactancia materna en el manejo clínico del amamantamiento.
